It was a week into my elderly patient’s hospital admission when he began to have fever and profuse diarrhea, some 10-12 bowel movement a day. The diagnosis was not hard to make: a stool test showed he had C difficile. Another patient, a thin women in her late 40s who had become paraplegic after a […]

If an ill patient, who unexpectedly has Ebola, landed in Memphis, it is likely that my partner or I would see him. We work as infectious disease doctors at the hospital closest to the airport. The Ebola patient would present with fever, nausea and vomiting, indistinguishable from a flu or a viral illness that […]

Lying in a hospital bed, my seriously obese patient can barely see her swollen and odorous right foot over her abdominal fat. The foot is soon to be amputated, the result of an untreatable infection exacerbated by diabetes and kidney failure, which developed in part because of obesity. Her two children, ages 6 and 12, […]

Over the past month my daughter, my aunt, my father-in-law and sister-in-law all have been taking antibiotics for a sinus or an upper respiratory infection. As the infectious disease doctor in the family, I feel partly responsible for all this. For my teenage daughter it started with a simple cold and runny nose, which she […]

The night before I was leaving for a three-week medical mission trip, I was called urgently to the ICU to see a patient I’ll call Rachel, a previously healthy woman in her late 40s, slightly overweight. She had started a new job as a customer service agent. Rachel was the sickest patient I had seen […]

Lying in a hospital bed, my seriously obese patient could barely see her swollen and odorous right foot over her abdominal fat. The foot was soon to be amputated, the result of an untreatable infection exacerbated by diabetes and kidney failure, which developed in part because of obesity.Her two children, ages 6 and 12, hovered […]

Two weekends ago, when the temperature hit the low 70s and the afternoon sun was warm, but not Memphis hot, my 13-year-old son and I put on our helmets and hopped onto our freshly serviced bikes for a ride. I had not seriously ridden a bike for a generation, and my son had stayed within […]

As I walk into the hospital each day, I notice patients and families sitting outside on benches that are surrounded by large signs prohibiting smoking on hospital grounds. For over five years, a collaborative and concerted effort by Memphis hospitals has successfully made all the hospital campuses smoke-free. Now, in other states, hospital systems like […]

As I approach my 50th birthday, I worry about Medicare not being there for me when I become eligible. I have some inside knowledge about Medicare. My parents and in-laws are patients on Medicare. As a doctor, I am a provider for Medicare, and as a public health educator I am a consultant for a […]

Fifteen years ago, I proudly hung a sign outside my office with my name followed by “MD.” I had started my own business. A small private medical practice is much like a mom-and-pop store, where the doctor has the autonomy to decide the hours, which insurance to accept, which patients to see and how much […]

A few years ago at a conference, I learned about a hospital initiative that allowed family members to be present 24/7 with their loved ones, often in the most challenging of environments, such as the intensive care unit. I was hesitant to accept this practice. An ICU room is filled with lifesaving equipment — ventilators […]

In January, when my close friend’s lymph node biopsy came back as a rare form of T-cell lymphoma, I scoured the scientific literature. What was his prognosis? He was 56, a little overweight but otherwise healthy. He had helped us move into our home more than a decade ago, and I was like an uncle […]

Some years ago, a nurse paged me at 3 a.m. from the hospital because a patient of mine had spiked a high fever. Suspecting an infection, I called in antibiotics. A few hours later, the frantic nurse called to say my patient had turned red and was wheezing, likely from an allergic reaction. I rushed […]

Not long ago, when my father was about to undergo a heart procedure, I hinted to the cardiologist, a colleague, that I wanted to be there, too, not just to offer comfort but also to be present for the play-by-play that would lead to a critical decision: whether to open his blocked arteries with a […]

Published: September 20, 2010 Like many people, I sometimes find myself in buildings or grand auditoriums that are named for individuals whom I know little about. But that was not the case last Thursday when I attended the inauguration of the Dr. H. Edward Garrett Sr. Auditorium at Baptist Memorial Hospital- Memphis. Read More

Mrs. Scott insisted she had been bitten by a spider as she caressed a deep ulcer on her right thigh.” “Did you see the spider?” I asked. “No, but it looks like a spider bite” she said. When we got the wound culture report back, we realized it was not a spider bite, but a […]

During morning rounds at the hospital I examine Mr. Jones. He had a lung transplant a year ago, and has made more visits to the hospitals than to the supermarket. I ask myself, “Is Mr. Jones happy?” I pass the automatic double door out of the ICU onto the hospital floor that has many acute […]